ELIZABETH GONZALEZ (NPI# 1306492715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306492715 |
| Entity Type | Individual |
| Full Name | ELIZABETH GONZALEZ |
| Practice Address |
4196 Douglas Blvd Granite Bay CA 95746-5904 |
| Mailing Address |
Po Box 5157 Modesto CA 95352-5157 |
| Practice Telephone | 2095722589 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784275 | Elizabeth Gonzalez | Massage Therapist | 9951 Shore Road Apt 1b, Brooklyn, NY 11209-8215 | 2020-09-10 |
| 1649753484 | Elizabeth Gonzalez | Case Management | 350 Nw 4th St Apt 905, Miami, FL 33128-1730 | 2018-09-07 |
| 1871036277 | Elizabeth Gonzalez | Counselor | 19401 S Vermont Ave # L102, Torrance, CA 90502-1029 | 2016-12-02 |
| 1265883003 | Elizabeth Gonzalez | Behavioral Analyst | 9440 W Flagler St, Apt 203, Miami, FL 33174-2075 | 2016-06-23 |
| 1114302437 | Elizabeth Gonzalez | Marriage & Family Therapist | 1853 Ives Ave Spc 16, Oxnard, CA 93033-1848 | 2015-07-28 |
| 1053758698 | Elizabeth Cristina Gonzalez | Speech-Language Pathologist | 142 E Harvey St, Mcallen, TX 78501-9442 | 2013-05-22 |
| 1255672887 | Elizabeth Gonzalez | Social Worker | 120 E Liberty St # 200, Ann Arbor, MI 48104-2156 | 2013-03-06 |
| 1427337468 | Elizabeth Gonzalez | Student in an Organized Health Care Education/Training Program | 12535 Sw 211th Ter, Miami, FL 33177-5771 | 2011-08-09 |
| 1427345560 | Elizabeth E Gonzalez | Case Manager/Care Coordinator | 203 S 36th Ave, Yakima, WA 98902-3601 | 2011-07-08 |
| 1013926773 | Elizabeth Gonzalez | Dentist | 7013 S. Cage Ste A, Pharr, TX 78577 | 2006-08-05 |
| Street Address |
4196 DOUGLAS BLVD |
| City | GRANITE BAY |
| State | CA |
| Zip Code | 95746-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164943965 | Alexandra Ostry | Behavioral Analyst | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2017-06-30 |
| 1588263156 | Lauren Degolia | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-23 |
| 1255939666 | Richard Koenig | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-16 |
| 1467050146 | Abigail Battenfield | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-14 |
| 1447857412 | Gail Ward | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-02 |
| 1144836784 | Lacey Burr | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-18 |
| 1265048094 | Andrei Deloso | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-17 |
| 1689289001 | Rusul Hadi | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-11 |
| 1437763919 | Jazlyn Diaz Salas | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-02 |
| 1043822570 | Alexandra Guilfoyle | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901672 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5525 Stallman Cavitt Road, Granite Bay, CA 95746 | 2017-09-12 |
| 1255787719 | Gurveen Atwal | Counselor | 511 Carthage Court, Granite Bay, CA 95746 | 2016-05-13 |
| 1407219181 | Sarah Choi Allen | General Acute Care Hospital | 8941 Wexford Circle, Granite Bay, CA 95746 | 2016-03-31 |
| 1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
| 1467726968 | Fareeha Bushra Sattar | Family Medicine | 9486 Swan Lake Dr, Granite Bay, CA 95746 | 2012-02-29 |
| 1578854592 | Meera Shah | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746 | 2011-04-25 |
| 1013151042 | Julia Margaret Black | Marriage & Family Therapist | 6049 Douglas Blvd., Suite 19, Granite Bay, CA 95746 | 2009-04-21 |
| 1366622532 | Marina V Milstein | Dentist | 7095 Douglas Blvd, Suite A, Granite Bay, CA 95746 | 2007-11-05 |
| 1154527398 | Sandra Kay Baker | Social Worker | 9123 Oakhollow Ct, Granite Bay, CA 95746 | 2007-06-25 |
| 1497965107 | Barry Hoffman | Dentist | 9035 Camino Del Avion, Granite Bay, CA 95746 | 2007-05-23 |
| Find all providers in zip 95746 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194333112 | Desiree Davis | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-07-15 |
| 1821606831 | Taylor L Mattley | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-07-15 |
| 1144848482 | Alexander Hanes | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-07-13 |
| 1114543162 | Nely Pena | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-06-24 |
| 1639794241 | Alexander De Matos | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-06-09 |
| 1861017477 | Urangoo Matthews | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-06-09 |
| 1720603400 | Madeline Mccormick | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-06-09 |
| 1821611104 | Rachel Aguirre | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-05-21 |
| 1548895964 | Mandy Roby | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-03-05 |
| 1740815182 | Kelly Frederiksen | Assistant Behavior Analyst | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-03-05 |
| Find all providers in GRANITE BAY | ||||
| City | GRANITE BAY |
| Zip Code | 95746 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.